HomeMy WebLinkAboutSUB, ELECPERMIT # ISSUE DATE
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Goldstar Electric Inc
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Bela Vista Contractors, Inc.
(Primary Contractor)
For the project located at 8402 Citrus Park Blvd, Fort Pierce, FL 34951 (Property Tax ID # 1301-608-0033-000-3)
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -co tractor notice.
Zorcic
CTOR SIG F. [Qua ifier]
C. Silva
PAINT NAME
31942
COUNTY CERTIFICATION NUMBER
State of Florida, Con aty of Broward
The foregoing instrument was signed before me this25th day of
January M022 , by Marcio Silva
who is personally known X or has produced a
as i a
STAMP
igaature of Notary Puhl'
Hudson Lopes
Print Name of Notary Public
+r HUDSM tames
1+11' COMM19SION # W 134TIO
EXPIRES: .Itiy 7, 2M5
Br�ndsid Tint PLMC Ut►derM 10.
g ,
Revised 1111612
(Qualifier)
John Cavnar
PRINT NAME
23575
COUNTY CERTIFICATION C NUMBER
State of Florida, County of S+. _'Lx
The foregoing instrument was signed before me this LS day of
who is personally knowkz.r has produced a
as identification.
S� it r�fi
4ie.:,We of Notary Public p
Print Name of Notary Public 2 n 1
2mo
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